Dev splenik arter anevrizması: Olgu sunumu

Year 2017, Volume: 2 Issue: 2, 58 - 59, 15.08.2017

Tolga Canbak Aylin Acar Hüseyin Kerem Tolan Fatih Başak

https://doi.org/10.25000/acem.300740

Abstract

Splenik arter anevrizması, nadir görülmektedir. Dev splenik arter anevrizması olan olgu literatürde oldukça az sayıda belirtilmiştir. Bu yazıda, dev splenik arter anevrizması saptanan bir olgunun sunulması amaçlandı. Altmış yaşında kadın hasta, karın ağrısı şikayeti ile başvurdu. Fizik muayenede, sol subkostal bölgede ele gelen sertlik vardı. Laboratuar inceleme normaldi. Manyetik rezonans görüntülemede, 10 cm çapında splenik arter anevrizması ile uyumlu bir görünüm saptandı. Splenektomi yapıldı. Peroperatif ve postoperatif dönemde kan replasmanı yapılmadı. Postoperatif 2. gün taburcu edildi. Takiplerinde komplikasyon gelişmedi. Semptomatik ve 2 cm’den daha büyük splenik arter anevrizmaları tedavi edilmelidir.

Keywords

splenik, anevrizma, arter

Giant splenic artery aneurysm: A case report

Abstract

Splenic artery aneurysm is rare. Only a few cases with giant splenic artery aneurysm has been reported in the literature. In this article, we aimed to present a case with giant splenic artery aneurysm. A 60-year-old female patient presented with a complaint of abdominal pain. On physical examination, there was stiffness on the left subcostal area. Laboratory examinations were normal. Magnetic resonance imaging revealed an appearance in compatible with splenic artery aneurysm with a diameter of 10 cm. Splenectomy was done. Blood replacement was not performed in the peroperative and postoperative period. She was discharged on the second postoperative day. No complication occurred in the patient. Symptomatic and splenic artery aneurysms over 2 cm should be treated.

Keywords

Splenic artery, Aneurysm, Splenectomy.

References

• 1. Madoff DC, Denys A, Wallace MJ, Murthy R, Gupta S, Pillsbury EP, et al. Splenic arterial interventions: anatomy, indications, technical considerations, and potential complications. Radiographics. 2005;25 Suppl 1:S191-211.
• 2. Larraín D, Fava M, Espinoza R. Splenic artery aneurysm: case report. Rev Med Chil. 2005; 133(8):943-6.
• 3. Kenningham R, Hershman MJ, McWilliams RG, Campbell F. Incidental splenic artery aneurysm. J R Soc Med. 2002;95(9):460-1.
• 4. Dorman BA, Carney WI. Aneurysm of the splenic artery. Dis Chest. 1965;48:78-82.
• 5. Greene DR, Gorey TF, Tanner WA, Lane BE, Collins PG. The diagnosis and management of splenic artery aneurysms. J R Soc Med. 1988;81(7):387-8.
• 6. Tcbc-Rj RA, Ferreira MC, Ferreira DA, Ferreira AG, Ramos FO. Splenic artery aneurysm. Rev Col Bras Cir. 2016;43:398-400.
• 7. Małczak P, Wysocki M, Major P, Pędziwiatr M, Lasek A, Stefura T, Radkowiak D, Zub-Pokrowiecka A, Budzyński A. Laparoscopic approach to splenic aneurysms. Vascular. 2016 Jan 1:1708538116682164.